Gallstones and their chemical types in relation to serum lipids and apolipoprotein levels  

作　　者：傅贤波 宫轲 沈韬 邵晓明 李国权 王莲英 孙尊 李锡春 

出　　处：《Chinese Medical Journal》1997年第5期64-67,共4页中华医学杂志（英文版）

摘　　要：Objective To determine the profile of lipidemia in patients with gallstones and the characteristics of lipidemia in different kinds of gallstone in gallbladder for predicting high risk subjects predisposed to gallstone formation by means of some serum parameters. Methods Serum lipids and apolipoproteins levels in 47 patients with stone in gallbladder (stone group) were compared with those in 19 inpatients without stone (control group). The characteristics of lipidemia in different kinds of gallbladder stones were also compared. Results Serum apolipoprotein (Apo) A1, C2 and E levels in the stone group significantly increased as compared with the control group ( P <0.01), but there were no statistically significant differences in TC, TG, LDL C, HDL C, HDL C/TC, LDL C/HDL C, Apo A2, B and C3 and Apo A1/Apo B levels between the stone and control groups ( P >0.05). Increased levels of serum LDL C and Apo B and the LDL C/HDL C ratio ( P < 0.05) were characterized as an index of cholesterol stones, while elevated levels of serum TG and Apo C2 ( P <0.05) as an index of pigment stones. Conclusions Serum apolipoproteins might be more sensitive parameters as compared with serum lipids in distinguishing patients with stones from subjects without stones. There are different profiles of serum lipids and apolipoproteins in different chemical types of gallbladder stones.Objective To determine the profile of lipidemia in patients with gallstones and the characteristics of lipidemia in different kinds of gallstone in gallbladder for predicting high risk subjects predisposed to gallstone formation by means of some serum parameters. Methods Serum lipids and apolipoproteins levels in 47 patients with stone in gallbladder (stone group) were compared with those in 19 inpatients without stone (control group). The characteristics of lipidemia in different kinds of gallbladder stones were also compared. Results Serum apolipoprotein (Apo) A1, C2 and E levels in the stone group significantly increased as compared with the control group ( P <0.01), but there were no statistically significant differences in TC, TG, LDL C, HDL C, HDL C/TC, LDL C/HDL C, Apo A2, B and C3 and Apo A1/Apo B levels between the stone and control groups ( P >0.05). Increased levels of serum LDL C and Apo B and the LDL C/HDL C ratio ( P < 0.05) were characterized as an index of cholesterol stones, while elevated levels of serum TG and Apo C2 ( P <0.05) as an index of pigment stones. Conclusions Serum apolipoproteins might be more sensitive parameters as compared with serum lipids in distinguishing patients with stones from subjects without stones. There are different profiles of serum lipids and apolipoproteins in different chemical types of gallbladder stones.

分 类 号：R575.62[医药卫生—消化系统]